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Pharmacology · CNS drugs
Sample itemWhy must levodopa be combined with a peripheral decarboxylase inhibitor?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Increase brain delivery and reduce peripheral adverse effects
Peripheral decarboxylase inhibition reduces conversion of levodopa to dopamine outside the brain, improving central delivery and reducing nausea and hypotension.
Option by option
A. Prevent renal excretion completely
Renal excretion is not completely prevented.
B. Block dopamine receptors in brain
Dopamine receptors are stimulated rather than blocked.
C. Cause immediate cure of Parkinson disease
Treatment improves symptoms but is not curative.
D. Increase brain delivery and reduce peripheral adverse effects (correct)
Correct: more levodopa reaches the central nervous system.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.